完整结肠系膜切除在右半结肠癌手术中的应用效果

Clinical effects of complete mesocolic excision on right colon cancer

目的 探讨完整结肠系膜切除在右半结肠癌手术中的临床应用效果.方法 回顾性分析2016年7月至2018年1月于惠州市第三人民医院行右半结肠癌手术治疗的60例患者的临床资料,将其随机分为对照组与观察组,每组30例.对照组采用传统手术方式治疗,而观察组行完整结肠系膜切除术,比较两组手术基本指标与并发症发生率.结果 观察组术中出血量[（162.05±10.17）ml]和手术时间[（168.08±11.71）min]均少于对照组[（235.28±10.05）ml、（225.07±12.35）min],而总淋巴结清扫数量[（25.08±9.61）个]多于对照组[（12.51±11.62）个],差异有统计学意义（P〈0.05）.观察组并发症发生率（3.33％）低于对照组（23.33％）,P〈0.05.结论 右半结肠癌手术患者应用完整结肠系膜切除方式治疗,有助于缩短患者手术时间,减少术中出血量,增加总淋巴结清扫数量,降低并发症发生率.

Objective To investigate the clinical application effect of complete mesocolic excision in right colon cancer surgery .Methods Clinical data of 60 patients who underwent right colon cancer surgery in Huizhou Third People ＇s Hospital from July 2016 to January 2018 were retrospectively analyzed , patients were divided into control group and observation group randomly , with 30 cases in each group.Patients in control group were treated by traditional surgical methods , while patients in observation group were treated by complete mesocdic excision , and the basic surgical indicators and incidence of complications of the two groups were compared .Results The intraoperative blood loss [ （ 162.05 ± 10.17）ml], operative time [（168.08 ±11.71）min] of observation group were less than those of control group [ （235.28 ±10.05 ） ml, （ 225.07 ±12.35 ） min ] , the total number of lymph node cleaning of observation group （25.08 ±9.61） was more than that of control group （12.51 ±11.62） , the difference was statistically significant （ P〈0.05 ） .The incidence of complications in observation group （ 3.33%） was significantly lower than that in control group （23.33%）, P〈0.05.Conclusions The complete mesocolic excision is conductive to reduction of operation time and intraoperative blood loss , increase in total number of lymph node dissection .At the same time , it is also helpful to reducing the incidence of complications.